APPLICATION FORM
 

ADDRESS CORRECTION - CHANGE FORM

Please review your address label on the outside rear cover and make any corrections below.
Pay particular attention to the number of lines on the label, the ZIP or postal code (use the
full 9-digit ZIP code, if you know it), and any abbreviations used. Clearly print or type the
correct address below. This form SHOULD also be used for address changes.

Line 1 :  _______________________________________________
Line 2 :  _______________________________________________
Line 3 :  _______________________________________________
Line 4 :  _______________________________________________

MAILING LABEL

Line 5 :  _______________________________________________

John Lorenz
704 Flamingo Cir
Burleson, TX 76028

Line 6 :  _______________________________________________
Phone :  _______________________________________________
   

THE MODEL ENGINE COLLECTORS ASSOCIATION (MECA)
MEMBERSHIP APPLICATION

Name___________________________________
MECA No.
(if renewal)
____________________
Address (Line 1)___________________________________
If new member,
check here:
____________________
Address (Line 2)___________________________________

(No PO Boxes for New Members)

P-Code-City___________________________________
Country___________________________________
Telephone No.
____________________
  
E-mail Address:
____________________

MECA Pledge

I, the undersigned, do agree to uphold and practice the Model Engine
Collectors Association's "Code of Fair Practices and Ethics, as follows:

1.  To protect the interest of Fellow Members.Signed____________________
2.  To be honest in dealings, my word is my bond.Date____________________

Dues:

$35.00
US

$40.00
Canada and Mexico

$50.00
(for all others; US Funds Only)

Make checks payable to: MODEL ENGINE COLLECTORS ASSOCIATION

Send application and remittance to      

John Lorenz
704 Flamingo Cir
Burleson, TX 76028

We also accept Credit Cards and Paypal Click here for the form
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